Discussion in 'All Categories' started by Rinku Saxena - Nov 9th, 2011 10:41 pm. | |
Rinku Saxena
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Dear Sir I am suffering from a four inch X four inch large ventral hernia. I want to know which surgery will be ideal for this surgery. |
re: I am suffering from ventral hernia is laparoscopic surgery safe
by Dr JS Chauhan -
Nov 9th, 2011
10:49 pm
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Dr JS Chauhan
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Dear Rinku Saxena Laparoscopic hernia repair is really a way to fix tears or openings in the abdominal wall using small incisions, laparoscopes (small telescopes inserted into the abdomen) along with a patch (screen or mesh) to strengthen the abdominal wall. It might offer a quicker return to work and normal activities with decreased pain for some patients. When a ventral hernia occurs, it always arises within the abdominal wall in which a previous surgical incision is made. In this region the abdominal muscles have weakened; this results in a bulge or perhaps a tear. In the same way that the inner tube pushes via a damaged tire, the inner lining of the abdomen pushes through the weakened area of the abdominal wall to form a balloon-like sac. This can allow a loop of intestines or any other abdominal contents to push in to the sac. When the abdominal contents get stuck within the sac, they can become trapped or |
re: I am suffering from ventral hernia is laparoscopic surgery safe
by Dr JS Chauhan -
Nov 9th, 2011
10:52 pm
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Dr JS Chauhan
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Dear Rinku Saxena Laparoscopic repair of ventral hernia is a good option and it has many advantages over open surgery. A hernia does not get better over time, nor will it disappear by itself so you need surgery. Common benefits of laparoscopic repair of ventral hernia can include: Less post-operative pain Shortened stay in hospital Faster return to regular diet Quicker go back to normal activity Only following a thorough examination can your surgeon see whether a laparoscopic ventral hernia repair is right for you. The process may not be perfect for some patients who may have had extensive previous abdominal surgery, hernias found in unusual or hard to approach locations, or underlying health conditions. Make sure to consult your physician about your specific case. The traditional approach is performed through an incision in the abdominal wall. It may go through part or all a previous incision, skin, an underlying fatty layer and in to the abdomen. The surgeon may choose to sew your natural tissue back together, but frequently, it takes the position of mesh (screen) in or around the abdominal wall for a sound closure. This technique is frequently performed within general anesthetic but in certain situations might be done under local anesthesia with sedation or spinal anesthesia. Your surgeon will help you select the anesthesia that is good for you. The second approach is really a laparoscopic ventral hernia repair. In this approach, a laparoscope (a tiny telescope with a television camera attached) is inserted via a cannula (a small hollow tube). The laparoscope and TV camera allow the surgeon to view the hernia from inside. Other small incisions will be required for other small cannulas for keeping other instruments to get rid of any scar tissue and also to insert a surgical mesh in to the abdomen. This mesh, or screen, is fixed underneath the hernia defect towards the strong tissues of the abdominal wall. It's locked in place with special surgical tacks and in many instances, sutures. Usually, three or four 1/4 inch to 1/2 inch incisions are essential. The sutures, which go car thickness from the abdominal wall, are put through smaller incisions round the circumference of the mesh. This operation is usually performed under general anesthesia. The decision to perform the open procedure is really a judgment decision produced by your surgeon either before or during the actual operation. Once the surgeon feels that it's safest to transform the laparoscopic procedure for an open one, this is not a complication, but rather sound surgical judgment. The decision to become an open procedure is strictly according to patient safety. With regards JS Chauhan |